人参杏子汤止嗽散风寒逐痰饮
人参 半夏 茯苓 白芍 桂枝 干姜 细辛 甘草(各一钱) 五味子(半钱) 杏仁(
一钱)
上 咀入姜煎
按此手足太阴足太阳少阴药也
半夏温肺汤止嗽喘治虚寒(方见痰饮门)
局方华盖散治感寒而嗽胸满声重
苏子 陈皮 赤茯苓 桑白皮 麻黄(各一两) 甘草(十两)
上 咀入姜煎
按此手太阴之本药也
金匮射干麻黄汤治咳而上气喉中水鸡声
射干 细辛 紫菀 款冬花(各一钱半) 麻黄 生姜(各二钱) 半夏(二钱半) 五味子
(一钱) 大枣(二个)
上 咀水煎作一服
按此足太阳例药也
按以上诸方并足太阳解表例兼逐饮降痰下气之法不同况寒证亦有轻重用者自宜取择
人参白虎汤治咳而身热脉虚发渴
东垣清暑益气汤治中暑身热自汗咳而脉虚
局方黄连香薷饮治暑热乘肺咳而脉洪(方并见暑门)
按暑嗽亦自病本不一姑录此三方可见治例轻重亦殊如消暑丸亦其法也(方见暑门)
五苓散治咳而烦脉紧而细
按此足太阳药解表之剂也
桑白皮(各二两)
上为末瓷器内盛每日热茶清点服
按以上二方手太阴之的药也或曰咳之病本不同何用药往往必于肺然咳者因声名病也故多
本于
肺经云肺象金坚劲扣之有声邪击于肺故为咳也且肺为腑脏之华盖主于气生皮毛朝百脉布化精
气者也或一脏一脉不利或九气所动或天之六气所感或水谷寒热内因所动则肺亦病矣故咳证虽
曰病本不同是以治例往往相类但病有轻重所兼之殊方亦奇偶温凉之异尔
宣明知母茯苓汤治咳嗽不已往来寒热自汗肺痿
甘草 茯苓(各一两) 知母 五味子 人参 薄荷 半夏 柴胡 白术 款冬花 桔梗
麦门冬 黄芩(各半两) 川芎(二钱) 阿胶(三钱)
上 咀每一两入姜煎
按此足少阳例药也
人参杏子汤:用于止嗽、散风寒、逐痰饮。
药材组成:人参、半夏、茯苓、白芍、桂枝、干姜、细辛、甘草(各一钱),五味子(半钱),杏仁(一钱)。
煎服法:将药物切碎,加入生姜煎煮。
按语:这是治疗手足太阴经及足太阳、足少阴经疾病的方剂。
半夏温肺汤:用于止嗽喘,治疗虚寒证。(该方详见“痰饮门”章节)
局方华盖散:用于感受寒邪引起的咳嗽,伴有胸满、声音重浊。
药材组成:苏子、陈皮、赤茯苓、桑白皮、麻黄(各一两),甘草(十两)。
煎服法:将药物切碎,加入生姜煎煮。
按语:这是治疗手太阴肺经本病的方剂。
金匮射干麻黄汤:用于咳嗽兼有气逆上冲,喉中发出像水鸡(青蛙)一样的鸣叫声。
药材组成:射干、细辛、紫菀、款冬花(各一钱半),麻黄、生姜(各二钱),半夏(二钱半),五味子(一钱),大枣(两个)。
煎服法:将药物切碎,用水煎煮,一次服完。
按语:这是遵循足太阳经治法的方剂。
按语:以上各方均属于足太阳经解表法的范畴,但在逐饮、降痰、下气的方法上有所不同。况且寒证也有轻重的区别,使用者应当自行斟酌选择。
人参白虎汤:用于咳嗽伴身体发热、脉象虚弱、口渴的症状。
东垣清暑益气汤:用于中暑引起的身热、自汗、咳嗽且脉象虚弱的症状。
局方黄连香薷饮:用于暑热侵袭肺部引起的咳嗽,脉象洪大的症状。(上述三方详见“暑门”章节)
按语:暑天咳嗽的病机本源各不相同,姑且记录这三个方子以展示治疗法则。其轻重程度也各不相同,例如消暑丸也是此类治法之一(该方详见“暑门”章节)。
五苓散:用于咳嗽伴心烦、脉象紧而细的症状。
按语:这是足太阳经解表的方剂。
药材组成:桑白皮(各二两)。
制法与用法:研为细末,盛放在瓷器中,每日用热茶调服少许。
按语:以上两个方子是专门针对手太阴肺经的方剂。有人问:咳嗽的病机本源不同,为何用药往往都针对肺?这是因为咳嗽是因发声而致的疾病,所以多源于肺经。《内经》云:“肺属金,性质坚劲,敲击时有声音;邪气侵袭肺部,故发生咳嗽。”而且肺是五脏六腑的华盖,主司气,外合皮毛,朝会百脉,布散精气。如果某一脏腑或经脉不利,或因九气所动,或因天之六气所感,或因水谷寒热的内因所动,则肺也会生病。因此,虽然咳嗽证的病机本源不同,但治疗法则往往相似。只是病情有轻重,兼夹症状有差异,方剂的配伍也有奇偶、温凉的不同罢了。
宣明知母茯苓汤:用于咳嗽不止,伴有往来寒热、自汗、肺痿的症状。
药材组成:甘草、茯苓(各一两),知母、五味子、人参、薄荷、半夏、柴胡、白术、款冬花、桔梗、麦门冬、黄芩(各半两),川芎(二钱),阿胶(三钱)。
煎服法:将药物切碎,每取一两,加入生姜煎煮。
按语:这是遵循足少阳经治法的方剂。
Ren Shen Xing Zi Tang (Ginseng and Apricot Seed Decoction): Used to stop cough, dispel wind-cold, and eliminate phlegm-fluids.
Ingredients: Ren Shen (Radix Ginseng), Ban Xia (Rhizoma Pinelliae), Fu Ling (Poria), Bai Shao (Radix Paeoniae Rubra), Gui Zhi (Ramulus Cinnamomi), Gan Jiang (Rhizoma Zingiberis), Xi Xin (Herba Asari), Gan Cao (Radix Glycyrrhizae) (each 1 qian); Wu Wei Zi (Fructus Schisandrae) (0.5 qian); Xing Ren (Semen Armeniacae Amarum) (1 qian).
Preparation and Administration: Cut the herbs into small pieces, add fresh ginger, and decoct in water.
Commentary: This is a formula for treating diseases of the Hand-Taiyin and Foot-Taiyin meridians, as well as the Foot-Taiyang and Foot-Shaoyin meridians.
Ban Xia Wen Fei Tang (Pinellia Warming Lung Decoction): Used to stop cough and wheezing, treating deficiency-cold patterns. (See "Tan Yin Men" chapter for details.)
Ju Fang Hua Gai San (Imperial Bureau Huagai Powder): Used for cough caused by cold invasion, accompanied by chest fullness and heavy voice.
Ingredients: Su Zi (Fructus Perillae), Chen Pi (Pericarpium Citri Reticulatae), Chi Fu Ling (Poria with Red Mycelium), Sang Bai Pi (Cortex Mori Radicis), Ma Huang (Herba Ephedrae) (each 1 liang); Gan Cao (Radix Glycyrrhizae) (10 liang).
Preparation and Administration: Cut the herbs into small pieces, add fresh ginger, and decoct in water.
Commentary: This is a fundamental formula for treating Hand-Taiyin Lung meridian disorders.
Jin Gui She Gan Ma Huang Tang (Golden Chamber Belamcanda and Ephedra Decoction): Used for cough with qi rebellion upward, and a sound in the throat resembling that of a water chicken (frog).
Ingredients: She Gan (Rhizoma Belamcandae), Xi Xin (Herba Asari), Zi Wan (Radix Asteris), Kuan Dong Hua (Flos Farfarae) (each 1.5 qian); Ma Huang (Herba Ephedrae), Sheng Jiang (Rhizoma Zingiberis Recens) (each 2 qian); Ban Xia (Rhizoma Pinelliae) (2.5 qian); Wu Wei Zi (Fructus Schisandrae) (1 qian); Da Zao (Fructus Jujubae) (2 pieces).
Preparation and Administration: Cut the herbs into small pieces, decoct in water, and take as a single dose.
Commentary: This follows the treatment principle of the Foot-Taiyang meridian.
Commentary: The aforementioned formulas all belong to the category of Foot-Taiyang exterior-resolving methods, but they differ in their approaches to eliminating fluids, descending phlegm, and directing rebellious qi downward. Moreover, cold syndromes vary in severity; practitioners should select appropriate formulas based on clinical judgment.
Ren Shen Bai Hu Tang (Ginseng White Tiger Decoction): Used for cough accompanied by fever, weak pulse, and thirst.
Dong Yuan Qing Shu Yi Qi Tang (Li Dongyuan's Clear Summerheat and Boost Qi Decoction): Used for summerheat stroke presenting with fever, spontaneous sweating, cough, and weak pulse.
Ju Fang Huang Lian Xiang Ru Yin (Imperial Bureau Coptis and Elsholtzia Decoction): Used for summerheat-heat invading the lung, causing cough with a surging pulse. (The above three formulas are detailed in the "Shu Men" chapter.)
Commentary: The underlying pathogenesis of summerheat-related cough varies. These three formulas are recorded here to illustrate treatment principles. Their indications for mild or severe cases differ; for instance, Xiao Shu Wan (Summerheat-Resolving Pill) also represents this therapeutic approach (see "Shu Men" chapter).
Wu Ling San (Five-Ingredient Powder with Poria): Used for cough accompanied by irritability, and a tight yet fine pulse.
Commentary: This is an exterior-resolving formula for the Foot-Taiyang meridian.
Ingredients: Sang Bai Pi (Cortex Mori Radicis) (each 2 liang).
Preparation and Administration: Grind into powder, store in a porcelain vessel, and take small amounts daily mixed with hot tea.
Commentary: The above two formulas are specific remedies for the Hand-Taiyin Lung meridian. One might ask: Since the pathogenesis of cough varies, why are medications often targeted at the lung? Cough is a disease manifested through vocalization, thus it largely originates from the Lung meridian. The *Neijing* states: "The Lung corresponds to Metal, possessing a firm and tough nature; when struck, it produces sound. When pathogens strike the Lung, cough ensues." Furthermore, the Lung is the canopy of the five zang organs, governs qi, connects with the skin and hair, receives blood from all vessels, and distributes essence and qi. If any zang organ or meridian becomes obstructed, or if disturbed by the nine emotional factors, or affected by the six climatic exogenous pathogens, or triggered internally by dietary cold and heat, the Lung will be diseased. Therefore, although the root causes of cough may differ, treatment principles are often similar. Differences lie only in the severity of the disease, accompanying symptoms, and the variations in formula composition regarding odd/even pairings and warming/cooling properties.
Xuan Ming Zhi Mu Fu Ling Tang (Xuanming Anemarrhena and Poria Decoction): Used for persistent cough, alternating chills and fever, spontaneous sweating, and fei wei (lung atrophy/withering).
Ingredients: Gan Cao (Radix Glycyrrhizae), Fu Ling (Poria) (each 1 liang); Zhi Mu (Rhizoma Anemarrhenae), Wu Wei Zi (Fructus Schisandrae), Ren Shen (Radix Ginseng), Bo He (Herba Menthae), Ban Xia (Rhizoma Pinelliae), Chai Hu (Radix Bupleuri), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Kuan Dong Hua (Flos Farfarae), Jie Geng (Radix Platycodonis), Mai Men Dong (Radix Ophiopogonis), Huang Qin (Radix Scutellariae) (each 0.5 liang); Chuan Xiong (Rhizoma Chuanxiong) (2 qian); E Jiao (Colla Corii Asini) (3 qian).
Preparation and Administration: Cut the herbs into small pieces; for every 1 liang of mixture, add fresh ginger and decoct in water.
Commentary: This follows the treatment principle of the Foot-Shaoyang meridian.